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Updated: May 21, 2025

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Floating C1 Lateral Mass Fracture Treated with C1-Ring Osteosynthesis: A Case Report with a Step-by-Step Surgical
Garrison P Bentz1, Ravi R Agrawal, Mark J Lambrechts
1Department of Orthopedic Surgery, Washington University in St. Louis, Saint Louis, Missouri.
Case:
A 31-year-old man sustained a C1 lateral mass fracture. He underwent C1-ring osteosynthesis, a motion preserving technique that obviates the need for spinal fusion. At 1-year follow-up, the patient had full neck range of motion, had returned to work, and was happy with the outcome of the surgery.
Conclusion:
We describe a step-by-step approach to C1 fracture fixation and illustrate the utility of C1-ring osteosynthesis for the treatment of unstable C1 injuries.
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